Amend HB 3741 by adding the following appropriately numbered
SECTION to the bill to read as follows and by renumbering
subsequent SECTIONS of the bill accordingly:
      SECTION ____. Section 42.059(a), Human Resources Code, is
amended to read as follows:
      (a)  An applicant for temporary or permanent employment with
a licensed facility or registered family home whose employment or
potential employment with the facility or home involves direct
interactions with or the opportunity to interact and associate with
children must execute and submit the following affidavit with the
application for employment:
STATE OF _____________
COUNTY OF ____________
      I swear or affirm under penalty of perjury that I do not now
and I have not at any time, either as an adult or as a juvenile:
      1.  Been convicted of;
      2.  Pleaded guilty to (whether or not resulting in a
conviction);
      3.  Pleaded nolo contendere or no contest to;
      4.  Admitted;
      5.  Had any judgment or order rendered against me (whether by
default or otherwise);
      6.  Entered into any settlement of an action or claim of;
      7.  Had any license, certification, employment, or volunteer
position suspended, revoked, terminated, or adversely affected
because of;
      8.  <Been diagnosed as having or have been treated for any
mental or emotional condition arising from;>
      <9.>  Resigned under threat of termination of employment or
volunteerism for;
      9. <10.>  Had a report of child abuse or neglect made and
substantiated against me for; or
      10. <11.>  Have any pending criminal charges against me in
this or any other jurisdiction for;
      Any conduct, matter, or thing (irrespective of formal name
thereof) constituting or involving (whether under criminal or civil
law of any jurisdiction):
      1.  Any felony;
      2.  Rape or other sexual assault;
      3.  Physical, sexual, emotional abuse and/or neglect of a
minor;
      4.  Incest;
      5.  Exploitation, including sexual, of a minor;
      6.  Sexual misconduct with a minor;
      7.  Molestation of a child;
      8.  Lewdness or indecent exposure;
      9.  Lewd and lascivious behavior;
      10.  Obscene or pornographic literature, photographs, or
videos;
      11.  Assault, battery, or any violent offense involving a
minor;
      12.  Endangerment of a child;
      13.  Any misdemeanor or other offense classification
involving a minor or to which a minor was a witness;
      14.  Unfitness as a parent or custodian;
      15.  Removing children from a state or concealing children in
violation of a court order;
      16.  Restrictions or limitations on contact or visitation
with children or minors resulting from a court order protecting a
child or minor from abuse, neglect, or exploitation; or
      17.  Any type of child abduction<; or,>
      <18.  Similar or related conduct, matters, or things>.
      Except the following (list all incidents, location,
description, and date) (if none, write NONE)
Signed ________________________
                                              Date _______________.
Subscribed and sworn to (or affirmed) before me this ________ day
of ________________,____________.
Signature of notarial officer ____________________________________.
(seal, if any, of notarial officer)
                             My commission expires:  ____________